Health assessment · practice question

A 66-year-old client in an outpatient clinic is being evaluated for focused reassessment during hospitalization. Assessment data include the client has not voided in 8 hours and lower abdomen is firm and tender. Which assessment approach should the nurse use first?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026health-assessment

Begin invasive procedures before any focused assessment.Defer assessment until all medications are administered.Use only the chart from admission without current data.Screen for instability, then perform a focused assessment related to the presenting concern.

Answer and explanation

Correct answer

D. Screen for instability, then perform a focused assessment related to the presenting concern.

Why

Assessment begins with stability screening and focused data collection before invasive or delayed actions.

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A 66-year-old client in an outpatient clinic is being evaluated for focused reassessment during hospitalization. Assessment data include the client has not voided in 8 hours and lower abdomen is firm and tender. Which assessment approach should the nurse use first?

Correct answer

Why

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